Purpose: The purpose of this management project was to design and evaluate a practice model that reflects a successful case-management program in a Level I trauma center. Design: A new case-management practice model was designed to reflect the belief that the foundation of practice is based on the development of health care relationships. The project was designed within a structure of case-management administration and support services (physical therapy, patient financial services, and palliative care). The processes used were case-finding measures (rounds, high-risk screens, and interactions with patients, families, and clinicians), acuity, and intensity of services. The tools of the project included a case-manager Web site and communication systems (beepers, computers, e-mail, search tools, and an information documentation system). Setting: This project was conducted in a Level I trauma center with annual visits of 78,000 located in the northeastern United States. Results: This project resulted in the creation of a case-management practice model in which the patient and family are the focus of emergency care. The case manager works collaboratively with the patient and family, emergency health care members, primary care provider, payers, and external community resources to provide the most comprehensive plan possible following emergency discharge. Five-year outcome statistics (from 1998 to 2002) showed that emergency case-manager consults increased from 121 to 1,731; initial case-manager assessment rose from 300 to 2,135. This significant growth from high-tech discharges, home-care referrals, direct transfers to rehabilitation or short-term nursing facilities, and arranged transport illustrates the pivotal role of the case manager in providing better patient care. Case managers also are valuable resources for clinicians and staff nurses to assist with often-lengthy referral processes or problematic discharges. Their involvement helps emergency department staff to more efficiently resolve problems. Outcomes: The design resulted in improved patient care concerning home-safety evaluation, best-practice disposition or placement, and planned follow-up. Recommendations: A successful case-management program improves quality care in a patient-focused, cost-sensitive environment. This successful model will help ED leadership and management personnel create a new program or strengthen an existing one.

Full metadata record

DC Field

Value

Language

dc.type

Presentation

en_GB

dc.title

A Successful Emergency Department Case Management Model

en_GB

dc.identifier.uri

http://hdl.handle.net/10755/163025

-

dc.description.abstract

<table><tr><td colspan="2" class="item-title">A Successful Emergency Department Case Management Model</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Todd Walsh, Kathleen, RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Massachusetts General Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">18 Lockway Road, Andover, MA, 01810, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(978) 475-3877</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kathleenwalshrn@msn.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this management project was to design and evaluate a practice model that reflects a successful case-management program in a Level I trauma center. Design: A new case-management practice model was designed to reflect the belief that the foundation of practice is based on the development of health care relationships. The project was designed within a structure of case-management administration and support services (physical therapy, patient financial services, and palliative care). The processes used were case-finding measures (rounds, high-risk screens, and interactions with patients, families, and clinicians), acuity, and intensity of services. The tools of the project included a case-manager Web site and communication systems (beepers, computers, e-mail, search tools, and an information documentation system). Setting: This project was conducted in a Level I trauma center with annual visits of 78,000 located in the northeastern United States. Results: This project resulted in the creation of a case-management practice model in which the patient and family are the focus of emergency care. The case manager works collaboratively with the patient and family, emergency health care members, primary care provider, payers, and external community resources to provide the most comprehensive plan possible following emergency discharge. Five-year outcome statistics (from 1998 to 2002) showed that emergency case-manager consults increased from 121 to 1,731; initial case-manager assessment rose from 300 to 2,135. This significant growth from high-tech discharges, home-care referrals, direct transfers to rehabilitation or short-term nursing facilities, and arranged transport illustrates the pivotal role of the case manager in providing better patient care. Case managers also are valuable resources for clinicians and staff nurses to assist with often-lengthy referral processes or problematic discharges. Their involvement helps emergency department staff to more efficiently resolve problems. Outcomes: The design resulted in improved patient care concerning home-safety evaluation, best-practice disposition or placement, and planned follow-up. Recommendations: A successful case-management program improves quality care in a patient-focused, cost-sensitive environment. This successful model will help ED leadership and management personnel create a new program or strengthen an existing one.</td></tr></table>

en_GB

dc.date.available

2011-10-27T10:38:15Z

-

dc.date.issued

2011-10-17

en_GB

dc.date.accessioned

2011-10-27T10:38:15Z

-

dc.description.sponsorship

Emergency Nurses Association

en_GB

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